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Michigan rates for HCPCS 80076

Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $17.96 / $111.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $6.57 / $8.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.68 / $11.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $11.45 / $20.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $7.59 / $10.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $8.17 / $24.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $5.31 / $8.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $9.50 / $11.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $20.16 / $121.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $7.36 / $10.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.76 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $8.17 / $8.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.85 / $6.46